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In reply to the discussion: Texas largest cancer centers not taking ACA patients [View all]FarCenter
(19,429 posts)31. If it is a BCBS card for an ACA plan, it will identify the plan
The insurance companies offer plans through the exchange. The card will identify the insurance company, the name of the plan, and other information, such as copays required.
Each insurance company plan has a network of providers who will accept patients belonging to the plan. It is expected that relatively few doctors, clinics, hospitals, imaging providers, test labs, etc. will sign up to be ACA plan providers.
Even doctors in dark about new health plans
Insurance shoppers often can't choose plans that their doctors take part in or include doctors near them. And doctors may not be able to confirm they're in a plan when patients ask them.
More than a month after HealthCare.gov and 15 state-based exchanges opened for business, consumers and even physicians are finding it's isn't easy or even possible sometimes to find out which doctors and hospitals are in the plans' provider networks.
"Some states, they have it, and for some, it isn't available. It 's a big unknown for the patient," says Anders Gilberg, senior vice president of government affairs for the Medical Group Management Association, whose members manage doctors' practices. "It's very much up in the air."
That means insurance shoppers often can't choose plans that their doctors participate in or that include doctors near them. It also means doctors may not be able to confirm they're in a plan when consumers ask them. While consumers may now occasionally find a doctor listed on their commerical insurance plan isn't accepting patients or is no longer on the network, at least they can reliably find provider lists and doctors at least know what plans they currently participate in.
More than a month after HealthCare.gov and 15 state-based exchanges opened for business, consumers and even physicians are finding it's isn't easy or even possible sometimes to find out which doctors and hospitals are in the plans' provider networks.
"Some states, they have it, and for some, it isn't available. It 's a big unknown for the patient," says Anders Gilberg, senior vice president of government affairs for the Medical Group Management Association, whose members manage doctors' practices. "It's very much up in the air."
That means insurance shoppers often can't choose plans that their doctors participate in or that include doctors near them. It also means doctors may not be able to confirm they're in a plan when consumers ask them. While consumers may now occasionally find a doctor listed on their commerical insurance plan isn't accepting patients or is no longer on the network, at least they can reliably find provider lists and doctors at least know what plans they currently participate in.
http://www.usatoday.com/story/news/nation/2013/11/07/doctor-questions-affordable-care-act-plans/3453689/
So "you'll be able to keep your doctor" may well not be true.
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Why is an exchange policy by private insurers now different than any other policy by
TwilightGardener
Nov 2013
#8
Exactly. I thought the ACA exchanges were just clearinghouses for insurance co's to offer
TwilightGardener
Nov 2013
#14
Yes but the Faux News watchers believe that Obamacare is guvmnt healthcare. They can make those
doc03
Nov 2013
#19
I thought the same thing. Because since the ACA is the law of the land
politicaljunkie41910
Nov 2013
#17
It appears the clinic has reversed course and hasn't decided yet. One of the comments shows two
okaawhatever
Nov 2013
#18
Since there is no such thing as an 'ACA patient', I am having a hard time understanding this post.
renie408
Nov 2013
#20
FALSE STORY: There's no way for them to know where the patient got their BCBS card
scheming daemons
Nov 2013
#21
the plans in the exhanges are the same ones you can buy directly from ins. company
scheming daemons
Nov 2013
#33
Hospitals can sign up to accept some plans and not others from an insurance company
FarCenter
Nov 2013
#32
There are good hospitals and good Oncologists in Texas. This is a perfect case for
bluestate10
Nov 2013
#30